| Summary: | 碩士 === 國立成功大學 === 護理學系碩博士班 === 98 === Delirium is a common complication among hospitalized elderly. Delirium may not only lead to the accident of falling or self-extubation, but also increase the length of stay and mortality rate. The purpose of study was to investigate the incidence of delirium and to test the effects of a prevent delirium intervention in elderly during post-intensive care. Elderly who were older than 65 years and transferred from intensive care unit (ICU) to the general wards were randomly assigned to experimental and control group. The experimental group (n= 30) was provided aids enable to move to public place and to enhance cognition training (introduction of care-team members or caregiver, and discussion daily schedule and current events, reorient the surrounding) 30 minutes per day for14 days. The control group (n= 30) was provided the routine care.
The overall incidence of delirium was 48.3 % (intervention group n=15, control group n=14). Almost of them were diagnosed on the day transferred (96.6%). Most delirium duration was 2 days (44.8%, 13/29); the longest duration was 7days (control group). The duration of delirium was significantly lower in the intervention group, compared to controls (2.13 vs. 3.29days, respectively, P=.011).
The findings of study suggest that nursing intervention is effective to decrease duration of delirium among the elderly in post-intensive care.
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